Liam Mason Johnson-Odegard
NPI #1871247148 in Inver Grove Heights, Minnesota
Provider Information
- NPI Number
- 1871247148
- Entity Type
- Individual
- Name
- Liam Mason Johnson-Odegard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 1890 52ND ST E
- State
- Minnesota
- ZIP Code
- 55077-1631
- Phone
- (651) 245-4293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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